Indiana Medicaid Eligibility Calculator (2026)
Indiana covers expansion adults through the Healthy Indiana Plan — up to $1,836 a month for one person — and children through Hoosier Healthwise and CHIP up to $5,806 for a family of three.
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Eligibility checklist
HIP, then HIP 3.0
Indiana implemented the expansion on February 1, 2015 through its HIP 2.0 waiver, and a trigger law would end it if federal funding drops.[KFF] A federal judge vacated HIP 2.0’s approval in June 2024, removing the state’s authority to charge premiums beyond federal limits. Indiana is now seeking HIP 3.0, which would put all expansion adults in one waiver with cost sharing, discounts for healthy behaviors and the power to cap enrollment, starting October 1, 2027.[KFF]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 213% | $2,833 | $3,842 | $4,850 | $5,858 | $7,874 |
| Children | 255% | $3,392 | $4,599 | $5,806 | $7,013 | $9,427 |
Children and pregnancy
Infants are covered in Medicaid to 208% of the poverty line and older children to 158%; the separate CHIP then covers children to 250%.[MACPAC] Pregnancy coverage runs to 208%.[MACPAC]
Postpartum coverage
Indiana dropped a narrower waiver that would have extended postpartum coverage only for people with opioid use disorder and instead adopted the full 12-month extension, approved September 8, 2022.[KFF]
Applying
Apply through the FSSA Benefits Portal. The parent/caretaker standard is only 14% of the poverty line, so almost every parent qualifies through HIP instead; older adults have a 100% poverty-level pathway.[MACPAC][MACPAC]
Worked example
An Indianapolis family of four — two parents, a newborn and an 8-year-old — earns $4,200 a month. That is 152.7% of the poverty line for 4.
| Parent / caretaker | over by $405 | $3,795 |
| Baby under 1 | covered | $7,013 |
| Child 6–18 | covered | $7,013 |
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